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Isolated nail lichen planus: An expert consensus on treatment of the classical form.

  • Iorizzo M Private practice, Bellinzona, Switzerland. Electronic address: matildeiorizzo@gmail.com.
  • Tosti A University of Miami, Miller School of Medicine, Miami, Florida.
  • Starace M Department of Specialized, Experimental and Diagnostic Medicine, University of Bologna, Bologna, Italy.
  • Baran R University of Franche-Comté, Nail Disease Center, Cannes, France.
  • Daniel CR University of Mississippi Medical Center, Jackson, Mississippi; University of Alabama, Birmingham, Alabama.
  • Di Chiacchio N Department of Dermatology, Hospital do Servidor Público Municipal de São Paulo, São Paulo, Brazil.
  • Goettmann S Private practice, Paris, France.
  • Grover C Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, Delhi, India.
  • Haneke E Department of Dermatology, Inselspital, Bern University Hospital, Bern, Switzerland.
  • Lipner SR Department of Dermatology, Weill Cornell Medicine, New York, New York.
  • Rich P Oregon Health and Science University, Portland, Oregon.
  • Richert B Saint Pierre - Brugmann and Queen Fabiola Children's University Hospitals, Université Libre de Bruxelles, Brussels, Belgium.
  • Rigopoulos D University Hospital of Venereal and Skin Diseases "A. Sygros," Athens, Athens, Greece.
  • Rubin AI Department of Dermatology, Hospital of the University of Pennsylvania, Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
  • Zaiac M Greater Miami Skin and Laser Center, Department of Dermatology, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida.
  • Piraccini BM Department of Specialized, Experimental and Diagnostic Medicine, University of Bologna, Bologna, Italy.
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  • 2020-03-01
Published in:
  • Journal of the American Academy of Dermatology. - 2020
acitretin
alitretinoin
consensus
guidelines
intralesional steroid injections
lichen planus
management
nail dystrophy
nail fissuring
nail lichen planus
nail ridging
retinoids
treatment
triamcinolone acetonide
English Lichen planus is a benign inflammatory disorder of unknown etiology that may affect the skin, mucosae, scalp, and nails. When the nails are affected, it may lead to permanent destruction with severe functional and psychosocial consequences. Therefore, prompt diagnosis and early treatment are essential, even in mild cases. There are currently no guidelines for the management of nail lichen planus and the published literature on treatment is limited. The aim of this review is to provide practical management recommendations for the classical form of nail lichen planus, especially when restricted to the nails. Topical treatment has poor short-term efficacy and may cause long-term side effects. Instead, intralesional and intramuscular triamcinolone acetonide should be considered first-line therapies. Oral retinoids are second-line choices, and immunosuppressive agents may also be considered.
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  • English
Open access status
green
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Persistent URL
https://sonar.ch/global/documents/228417
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